Bramhall Park Medical Centre Also known as Dr Devine & Partners

We carried out an announced comprehensive inspection at Bramhall Park Medical Centre on 26 March 2019 as part of our inspection programme. We rated the practice as requires improvement for providing safe services and good overall.

The full comprehensive report on the March 2019 inspection can be found by selecting the ‘all reports’ link for Bramhall Park Medical Centre on our website at www.cqc.org.uk.

At our inspection in March 2019 we rated the practice as requires improvement for providing safe services because:

• Monitoring of some high-risk medicines was not always well managed.
• Some medicines were not stored securely.
• Some clinical equipment had passed its recommended expiry date.
• Some patient group directions (PGDs) were not appropriately authorised.
• Some infection control measures were below standard.

This was in breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and we issued the provider with a requirement notice in relation to these issues.

On 27 September 2019, we carried out a focused inspection of the safe key question. We visited the practice to confirm it had carried out the plan to meet the legal requirements in relation to the breaches in regulations identified in our previous inspection on 26 March 2019. This report covers our findings in relation to those requirements.

At this inspection, we found that the provider had satisfactorily addressed all legal requirements.

We have rated this practice as good for providing safe services.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• The system for recording the monitoring of patients prescribed higher risk medicines had been strengthened.
• Equipment was now checked to ensure it was within the manufacturer’s guidelines for use.
• Security to clinical rooms and medicines had been improved.

We also noted that some areas that had been identified that the practice should improve had also been addressed:

• Processes for authorising new nurses for patient group directions (PGDs) had been improved.
• Infection control measures had been improved.
• Information provided to complainants on how to escalate complaints had been improved.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

We carried out an announced comprehensive inspection at Bramhall Park Medical Centre on 26 March 2019 as part of our inspection programme. Our inspection team was led by a CQC inspector and included a GP specialist advisor.

At the last inspection carried out 2 March 2016 we rated the practice as good overall.

Our judgement of the quality of care at this service is based on a combination of what we found when we inspected, information from our ongoing monitoring of data about services and information from the provider, patients, the public and other organisations.

The practice is rated as good overall.

We rated the practice as requires improvement for providing safe services because:

•The practice did not have safe and effective systems and processes to manage medicines and equipment.

This means that:

•People who used the service were generally protected from avoidable harm and abuse, however management of patient and emergency medicines and equipment were not always safe.

•Patients had good outcomes because they received effective care and treatment that met their needs.

•Patients were supported, treated with dignity and respect and were involved as partners in their care.

•Patients’ needs were met by the way in which services were organised and delivered.

•The leadership, governance and culture of the practice promoted the delivery of high quality person-centred care.

We saw one area of outstanding practice:

•The practice had understood the needs of its population and provided healthy living opportunities and dedicated clinics including Saturday morning “lifestyle” and learning disability clinics, together with walking clubs and access to health software applications.

There were areas where the provider must make improvements:

•Ensure care and treatment is provided in a safe way to patients.

There were areas where the provider should make improvements:

•Review the process for additional nurses being authorised for patient group directions (PGDs).

•Include details of the escalation process in letters to complainants.

•Review some infection control measures.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care